Gospel Jubilee Cruise

Registration

CLICK HERE to open a printable Registration Form and mail to:

Jubilee Productions - 2185 Kathleen Avenue - Cantonment, FL 32533

OR fill out and submit the online form below.

Don't forget to fill in The Chuck Wagon Gang as your HOST GROUP
if it is not already filled in!

Name

Address

City

State

Zip

E-mail

Home Phone

Work Phone

Cell Phone

Please type ONLY your First and Last name below as it appears on your passport for
passengers sharing the same cabin. Do not include your middle name.

Legal Name	Date of Birth	Male	Female
Legal Name	Date of Birth	Male	Female
Legal Name	Date of Birth	Male	Female
Legal Name	Date of Birth	Male	Female

Please reserve me a cabin in category: for the Gospel Jubilee Cruise.
Please charge my credit card $150 per person for my initial deposit only. ($250 for suites)
Please charge my credit card the initial $150 deposit ($250 for suites) per person, then charge again on the
        payment due dates as specified on the Conditions Page, under Deposit Requirements (Sept. 4th & Dec. 1st, 2009)
Please charge my credit card for the full price of my cruise.

Check if you have any special needs. List all that apply (bringing wheel chair or scooter,
        CPAP machine, insulin therapy, medicine requiring refrigeration, other):
        List Here:

Comments & Requests:
(if there's another family that you'd like to dine with, or room near, etc.)

CREDIT CARD INFORMATION
CARD TYPE
CARD NUMBER
EXPIRATION DATE
NAME ON CARD
BILLING ZIP CODE

Host Group
This space is for you to enter the artist on
this cruise in which you found out about
the Gospel Jubilee Cruise.

BEFORE SUBMITTING YOUR RESERVATION REQUEST
PLEASE MAKE SURE THAT ALL FIELDS ARE FILLED IN
- OR YOUR RESERVATION WILL NOT BE PLACED -

Don't forget to fill The Chuck Wagon Gang as your HOST GROUP
if it is not already filled in!!